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Home » News & Features » Broadway News & Features » Top theatre to see in New York in December
Top theatre to see in New York in December
Read our picks for must-see Broadway and Off-Broadway theatre in December 2021.
2021 is drawing to a close, but plenty of New York shows are opening in December before the year is up. The past months saw a celebration of the return of live theatre, and that celebration continues with multiple Broadway shows making their long-awaited debuts that were originally scheduled for 2020. Plus, with the holidays in full swing, December is filled with Off-Broadway shows that celebrate the magic of the winter season. Check out the top holiday shows in New York here.
Whether you're planning your holiday vacation to the city or are a local looking to squeeze in some more theatregoing before 2021 ends, check out our list of Broadway and Off-Broadway theatre to see in December 2021.
After nearly two years on pause, one more Tony-winning Broadway show from before the pandemic is reopening alongside three new shows: a brand-new jukebox musical, a play debuting on Broadway after meeting success across America, and the star-studded revival of a Golden Age musical classic.
Anybody have a map with directions to the Music Box Theatre? The six-time Tony Award-winning Dear Evan Hansen restarts Broadway performances on December 11, with Jordan Fisher returning to the title role. In the musical, the anxious high school outcast Evan Hansen pretends to be friends with a classmate that died to comfort the classmate's parents. His lie eventually propels him to popularity as he starts a social movement for inclusion, but he has to figure out how to eventually share the truth.
Get Dear Evan Hansen tickets now.
Skeleton Crew
Tony Award winner Phylicia Rashad stars in the Broadway premiere of Skeleton Crew, written by Ain't Too Proud librettist Dominique Morrisseau. A group of colleagues at Detroit's only operating auto plant are like a family to each other — they're fiercely loyal and always stand up for their fellow blue-collar workers. Soon, however, they get word that their plant is on the brink of closure, and their loyalties are put to the test as their jobs and livelihoods are put on the line.
Get Skeleton Crew tickets now.
MJ The Musical
The new bio-musical about the King of Pop is set to be a thriller. MJ The Musical follows Michael Jackson's career from his childhood in the Jackson 5 to his adulthood as a chart-topping solo act. The show includes all of Jackson's greatest hits, like "Bad," "Smooth Criminal," "Man in the Mirror," and more, together with a book by two-time Pulitzer Prize winner Lynn Nottage. Tony Award winner Christopher Wheeldon directs and choreographs, and there's sure to be plenty of moonwalking.
Check back for information on MJ The Musical tickets.
Hugh Jackman and Sutton Foster lead the big parade that is The Music Man's return to Broadway. Meredith Willson's classic musical centers on a con man, Professor Harold Hill (Jackman), who poses as a music instructor. He sells uniforms and instruments to local bands and promises them music lessons, but disappears from town the minute he gets paid without teaching a single note. When he arrives in River City to enact his con, the local librarian, Marian Paroo (Foster), finds him out. Her plans to stop Harold, however, are thrown off when she starts to fall for him.
Check back for information on The Music Man tickets.
Off-Broadway shows
Catch plenty of holiday-centric entertainment off Broadway, including operas for all ages and the stage adaptation of a beloved TV classic. A Saturday Night Live star also headlines the revival of a Tony and Drama Desk Award-winning play.
The Metropolitan Opera is opening three productions in December, beginning with Tosca, Puccini's classic opera featuring one of the genre's "quintessential" fictional divas. The titular singer, Floria Tosca, is in love with the painter Mario Cavaradossi, but the corrupt police chief Scarpia wants Tosca for himself. He conspires to get Cavaradossi convicted of a crime to get him out of the way. The drama is set during Napoleon's impending invasion of Italy, upping the stakes so the characters are as concerned with the country they love as they are with the future of the people they love.
Get Tosca tickets now.
Cinderella, a new opera production of the classic fairytale, is the second show in the Met's holiday series for families. A young housemaid dreams of attending an elegant ball thrown by a handsome prince, but her stepmother and stepsisters won't let her. With the help of her fairy godmother, however, Cinderella gets a glamorous makeover and attends the ball. But once the temporary transformation wears off, the prince must find his way back to her with only the help of a single glass slipper.
Get Cinderella tickets now.
The Magic Flute, along with Cinderella, continues The Metropolitan Opera's annual tradition of presenting abridged, English-language operas around the holidays to bring in family audiences. The opera starts off like many classic fairytales, with a prince sent by a queen to rescue a princess in distress. He's helped along in his quest by the titular charmed instrument, which turns sadness into joy when he plays it. Once he rescues the princess, however, the two realize her captor is actually kind and wise, and it's the queen that needs to be defeated.
Get The Magic Flute tickets now.
See the classic Peanuts TV special come to life in A Charlie Brown Christmas. From December 21 - 24, see Charlie Brown, Lucy, Linus, Sally, and the rest of the gang discover the true meaning of Christmas. The show includes all the original dialogue from the TV show and all its famous moments, including Charlie Brown's Christmas tree search, Snoopy's decorated doghouse, and the Christmas play the Peanuts put on. At the end, the audience gets to join the cast in singing classic Christmas carols.
Get A Charlie Brown Christmas tickets now.
'Twas the Night Before... by Cirque du Soleil
For the second time, Cirque du Soleil brings its high-flying holiday circus spectacular to the Hulu Theater at Madison Square Garden. At the center of 'Twas the Night Before... is an adolescent girl named Isabella, who believes herself too old for all the hype around the holiday season. When her dad tries to read her the classic Christmas poem A Visit From St. Nicholas (better known as 'Twas the Night Before Christmas) and she refuses to listen, she's whisked away to a world where the poem's characters come to life with acrobatics, hula hooping, rollerblading, a snowball fight, and more.
Check back for information on 'Twas the Night Before... tickets.
The Search for Signs of Intelligent Life in the Universe
Saturday Night Live star Cecily Strong takes over a role made famous by Lily Tomlin in Jane Wagner's solo show. In The Search for Signs of Intelligent Life in the Universe, Strong plays 12 women who share vignettes from their lives and an abridged history of the women's movement, covering multiple generations of the female experience. Their characters are all united under the persona of the "bag lady" Trudy, who is explaining the state of the world to aliens from outer space.
Check back for information on The Search for Signs of Intelligent Life in the Universe tickets.
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When you look to play keno online free no download remember there are a number of options. The first place to start is here, below is a free keno game to practice on, you can develop your strategy before playing that large keno lottery game with dazzling prizes. As a player, you can trial the game for as long as you want and as many times as you like, you could say you'll have a lotto fun! Yes, that was a well-executed pun. The internet hot spots to pick from when it comes to free games to self explore come from the casinos directly, here you'll have the function of playing across all devices including Android and Apple. You can pick a number of games to trial in demo mode, winning draws from these virtual machines don't offer real money but its great practice. The real money comes available from the playnow options. Now internet gambling may be a problem gambling for some so casinos now have a voluntary self exclusion on bets and values, so look into these if you feel you may be drawn to the dark side.
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The variants of online keno is a game of spot the difference, though subtle the game of balls with have different twists and did you know that Keno plays out as a live addition to your computer? Find the casino website that offers live Keno and you really have struck gold, your guides can lead you there but we don't want to appear as being pushy.
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The Scholars Edge Management Program is one of those rare summer opportunities where you don't need business experience to apply, but can be guaranteed an incredible learning opportunity and a rewarding experience. To be a successful student operator with our program you simply need to be motivated, willing to work hard and ready to take on a challenge. If that sounds like you, we hope you'll apply.
Every Scholars Edge Operator needs to have access to a vehicle in the preseason and must be available to work all summer (i.e. no summer school, major vacations). Production vehicle fully set up with equipment is provided in the summer.
Find out more about the Scholars Edge Management Program at one of our information sessions held at universities and colleges throughout western Canada. If you can't make one of these sessions one of our campus reps will happily meet you for a coffee on campus. These sessions are typically run between September and February. Contact Us to find a session near you.
For this meeting to take place we ask that you have completed "Step Two" of the application process found on this website. This is your chance to ask us your questions and for us to get to know you a little better. It is from this meeting that we determine if you are eligible for an official interview.
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Sophos enables enterprises to secure and control their IT infrastructure. Our network access control, endpoint, web, email and encryption solutions simplify security to provide integrated defenses against malware, spyware, intrusions, unwanted applications, spam, policy abuse, data leakage and compliance drift. We protect over 100 million users in nearly 150 countries.


A 51-year-old man was referred to Samsung Medical Center because of rapidly progressing mental deterioration following fever, anorexia, vomiting and general weakness which had been present for prior 2 weeks. 2 Months before presentation, he worked in Luanda, Angola doing tiling and painting for 1 month. Then, he came home via South Africa. Since home -coming, he has had intermittent fever without having any medical examination. Then, his symptoms progressed gradually with anorexia, vomiting, general weakness, and to rapid mental deterioration at the time of visiting to local hospital. After being transferred to SMC, he was intubated and admitted to Intensive-care-unit. Diagnostic work-up and therapeutic intervention were done at the same time.
The patient had diabetes mellitus for 10 years with glucose-lowering agents.
On physical examination, vital signs were BP 134/64 mmHg, HR 105 bpm, BT 39.5 C, RR 22/min. Mental status was semi-comatous. Glasgow-coma-scale was 9 points. Pupils were responsive to light. Head & neck, chest, heart exams were normal. On abdominal palpation, enlarged liver and spleen were palpated and he was anuric. Extremities were OK.
What would be the most likely diagnosis?
P. falciparum malaria is very rare in Korea and seen in only a small group of patients who have travel history to endemic area. It can be much more acute and severe than malaria caused by other Plasmodium species. In Korea, rapid diagnosis of severe falciparum malaria is often difficult and may not be considered in the differential diagnosis of fever with altered mentality especially when history taking is impossible due to mental deterioration. At first we also couldn\'t get a precise information on the travel area and whether he had been on malaria prophylaxis. Moreover, anti-falciparum malarial drugs are not readily available in Korea making such patients at a greater risk of poor outcome.
For the rapid diagnosis of malaria, we currently use a simple commercialized antigen detection kit based on detection of P. falciparum-specific LDH and pan-Plasmodium LDH. In our patient, the antigen test kit showed positive band for control , Pan Ag ( common to all species of Plasmidum ), an P. f Ag (specific for P. falciparum ). This means that the patient has either P. falciparum malaria alone or coinfection of falciparum and non-falciparum Plasmodium. But because blood smear showed mature trophozoites, schizonts, and gametocytes which are hardly seen in P. falciparum infection due to sequestration in microvasculature, we diagnosed him as coinfection of falciparum and non-falciparum Plasmodium.
The management of this patients were continuous renal replacement therapy for anuric ARF and lactic acidosis, plasma apharesis for severe parasitemia, and combination of antimalarial agents (Artemether with Quinidine) for 1 week. He recovered completely except oliguric renal failure. After mental recovery, he stated that he had taken mefloquine weekly in Africa but had not taken it after coming back to Korea.
The patient was referred back to local hospital for management and follow-up of renal failure.


The Ravens will be without their bookend tackles against the Pittsburgh Steelers, as left tackle Ronnie Stanley (ankle) and right tackle James Hurst (back) were ruled out for Sunday.
Outside linebacker Tim Williams (ankle) also will be sidelined Sunday.
Stanley was hurt after his ankle was rolled up on in Sunday's loss to the Carolina Panthers, while Hurst has missed the past two games after back problems flared up. Their absences could loom larger against a Steelers defense tied with the Ravens' for most sacks per game in the NFL (3.4).
Ravens guard-tackle Jermaine Eluemunor, a recent practice squad promotion, and rookie tackle Orlando Brown Jr. are expected to replace Stanley and Hurst, respectively. But the offensive line's deployment could get creative, especially with guard Alex Lewis (neck) and rookie guard-center Bradley Bozeman (calf) limited in practice Friday for the second straight day.
Inside linebacker C.J. Mosley (thigh) practiced just once this week and is questionable. So, too, are running back Alex Collins (foot), who was a full participant Friday, and wide receiver Jordan Lasley (hamstring), who has not played yet this season.
The Steelers have no players ruled out and only offensive tackle Marcus Gilbert (knee) listed as doubtful. Cornerbacks Artie Burns (ankle) and Coty Sensabaugh (toe) are questionable for Sunday.


text:
Van Connor
Released: 10th November 2017
Directed By: Joseph Kosinski
Starring: Miles Teller, Josh Brolin
Reviewed By: Van Connor
It's Backdraft for the Lone Survivor generation as Oblivion director Joseph Kosinski skips his usual sense of spectacle and takes his own crack at a Peter Berg picture. In keeping with the Berg sensibility, Only the Brave more than lives up to the usual sensation of "phwoar – real American heroes!", but in the hands of both Kosinski and writers Ken Nolan and Eric Warren Singer, there's more than enough knowingly lantern-jawed fun to give it some much-needed spark.
The true story of the Granite Mountain Hotshots, Only the Brave chronicles the outfit's rise from municipal fire unit to full-blown federally-certified wildfire team – a team tasked with getting ahead of forest fires and removing their "fuel" by chopping down sections of the forest and destroying them in smaller controlled fires. As much about the men and their lives as it is their mission, the story sees the team quickly establish a name for themselves in a literal trial by fire, until the day comes that will bring them face to face with the fire that will forever secure their place in firefighting history.
Those even vaguely aware of the Granite Mountain team will naturally have a sense of just where this tale's likely headed, and, even in that circumstance, Only the Brave brings enough charisma and distinct personality to at least keep it interesting and suspenseful. It's no Backdraft, sure, but it's a step above Ladder 49 at any rate, and Kosinski hones his craft here to ensure that – while there's never a lack of impressive fire-fighting set pieces, his movie is focused entirely on the men who populate it.
Those men, as it happens, are brought to life by a pretty engaging crop of talent. Josh Brolin proves a solid enough performer to overcome a wealth of cumbersome cliches as squad leader Marsh, Miles Teller takes on some almost meta-casting as a brattish and arrogant recruit in dire need of seasoning, and Taylor Kitsch makes for an endearing womaniser-turned-heart of the group. Meanwhile, James Badge Dale shows up to play in the only way he knows how – as this movie's James Badge Dale – and if there's any other actor in the world besides Jeff Bridges who can make the line "if you want sympathy, you'll find it in the dictionary between s**t and syphilis" work, well, we've yet to discover him.
It's a boys-own underdog tale with some date movie charm, a fiery brothers-in-arms tale that puts Berg to shame and proves there's serious room for the occasional smile in a gritty and grounded true story feature such as this. Only the Brave's not going to wow the more discerning high-brow audience members, admittedly, but it'll win over more than a few multiplex crowds with the ash-covered wink it throws them here and there.
Related Topics:Miles TellerOnly The Brave
Keeper of Lola M. Bear. Film critic for Movie Marker, TalkRADIO, and others. Producer of podcasts. Skechers enthusiast and blazer aficionado. All opinions my own.
First Man ★★★★
Top Gun: Maverick Delayed By A Year
Jon Hamm Joins Top Gun: Maverick
Miles Teller To Star Alongside Tom Cruise In 'Top Gun: Maverick'
Fiery First Trailer For 'Only The Brave'
LFF Unveils 2016 Line-Up


A late penalty from Chris Porter - his first goal of the season - ensured the Blades progressed to the second round of the FA Cup with Budweiser.
At the end of Colchester's ground which housed 410 Blades fans, the striker netted after 81 minutes after a 2-0 lead had been pegged back.
Harry Maguire netted his fifth goal of the season and an own goal extended the lead. However, second half goals from Macauley Bonne and Luke Garbutt gave the home side a lifeline before Porter's penalty.
The Blades team included four changes from the previous week's league encounter at Shrewsbury.
After a careful build-up, Miller was included from the start in the first team for the first time since Boxing Day 2013, whilst there were also recalls for Porter, Coady and McGinn. Flynn, Taylor and King dropped to the bench, whilst White was denied permission to play by his parent club, Leeds.
Lappin and Coady were handed the wide midfield roles, it was quickly apparent, but the game's first half chance fell to Bond, but his effort was deflected over by Collins, who recovered after mis-controlling. Incidentally, Collins had his head bandaged from the start to protect the head injury he sustained at Shrewsbury.
Then, for the next 12 minutes it was all Blades with no less than six efforts recorded in that time. It began with Miller laying off to McMahon, whose shot from an acute angle was bundled around a post by Walker.
The home goalkeeper, however, could do little to prevent the visitors taking the lead on 10 minutes. Following a foul on Porter, McGinn curled a free-kick to the back post where MAGUIRE's header looped over everyone before dropping in at the far post.
United's vocal travelling support had barely stopped celebrating when a second was added just two minutes later. This time Okuonghae gave the ball away, Porter progressed down the right and looked to pick out the well-positioned Miller or Doyle but the low cross was deflected by Eastman and trickled into the goal off the feet of goalkeeper WALKER.
Moments later, Miller's effort was blocked after a run down the left channel by Porter and Hill came close to his first Blades goal on 15 minutes when his 30-yard effort clipped the top of the crossbar. In addition, a 35-yard free-kick from McMahon was on target but saved by Walker.
Colchester managed to stem the momentum from the Blades but in terms of hitting back with goals, there was little to report in the first half. A Garbutt free-kick from the edge of the box was over and a speculative effort from Bonne was off target.
Collins needed treatment for his head injury late in the half and deep into injury-time, Colchester's best chance came from a move down the right but Eastmond's low volley was wide of Long's right post.
With their first effort on target, Colchester reduced the arrears soon after the restart. A deep cross from Garbutt skimmed off a head but BONNE continued his run at the back post and netted with a diving header.
The Blades hit back with chances falling to the front two but Miller shot over after cutting in from the right and Porter headed wide a cross from McMahon. On the hour Porter had a better chance to restore the two goal cushion when he lost his marker inside the six-yard area but he was unable to turn in another McMahon cross.
A Coady shot was straight at Walker before the Blades were punished for not converting the plenty of chances which were being created. On 64 minutes, there appeared little danger when a throw was half-cleared but GARBUTT's 30-yard effort was sweetly struck and nestled in the bottom corner of Long's goal.
Opportunities continued. Porter had a free header from McGinn's free-kick but Walker pushed the effort away, whilst Long kept out from Morrison at the other end. Clough made a couple of changes and the fast-paced action continued. Bean fired over for Colchester and Maguire, despite being under pressure, won another header from McMahon's cross.
Just as the game entered the final 10 minutes a crucial decision went United's way and with it came the lead. From Lappin's free-kick, Maguire's header was heading back across goal when it struck the hand of Okuonghae - referee Gibbs looked disinterested but was advised by one of his assistants that a penalty was the right decision. After deliberations, a spot-kick was awarded and PORTER waited patiently before sliding home, sending the goalkeeper the wrong way.
Late on Colchester threw defender Eastman forward and United introduced Taylor just before five minutes of added time was announced. Professionally, the Blades played clock down, completing the majority of the injury-time period in the Colchester half to book a place in Sunday's second round draw.
Colchester: Walker, Okuonghae, Eastmond (Vose 79), Morrison, Bond (Dickson 45), Bean, Eastman, Wilson, Gilbey, Garbutt, Bonne (Szmodics 87).
Unused: Cousins, Sanderson, Olufemi, Spence.
Blades: Long, Maguire, Hill, Doyle, Porter (Taylor 90), Miller (Baxter 75), McGinn (Flynn 68), Collins, Coady, Lappin, McMahon.
Unused: Howard, Cuvelier, King, Murphy.


text:
Request for Applications announced for 108 new medical marijuana licenses
The New Jersey Department of Health is seeking new applicants to operate up to 108 additional alternative treatment centers. Separate licenses will be available for the first time for cultivation, manufacturing, and dispensary, as per recent DOH rule changes.
Northern New Jersey and central New Jersey will receive up to 38 licenses each, while southern New Jersey will receive up to 32. Up to 24 cultivation licenses, 30 manufacturing licenses, and 54 dispensary licenses will be granted.
The number of available licenses is based on the DOH's assessment of patient needs and region population.
"We are at a point where patients just cannot wait any longer for easily accessible, affordable therapy. This request for applications allows for specialization of businesses to increase medical product in our state," said New Jersey Health Commissioner Dr. Shereef Elnahal in a statement.
"In addition, by allowing for three sizes of cultivation endorsements (5,000 square feet, 20,000 square feet and 30,000 square feet), we are increasing opportunities for small- and medium-sized businesses to participate in the program," he said.
There are currently 47,500 medical cannabis patients in New Jersey.
A Request for Applications, released Monday, can be viewed here. Interested applicants can access ATC application forms here on July 1, then due on August 15.
Applicants are invited to submit questions on the RFA to the DOH through July 5, and a pre-application webinar with frequently asked questions will be held on July 16.
The six currently operating ATCs and six awardees from the July 2018 RFA process are eligible to participate in this RFA.
The timeline for review of applications and announcement of awards depends on the volume of applications received, the DOH said.
9:14 am Mon, June 3, 2019 NJBIZ
Linda Lindner


text:
Q: Unable find driver PostgreSQL in ogr2ogr I need use ogr2ogr tool for import osm into PostgreSQL database. I've tried this command:

ogr2ogr -f PostgreSQL PG:"dbname='OSM_DB' host='localhost'
  port='5432' user='postgres' password='postgres'"
  "E:\Sources\OSM Data\map.osm.pbf"

I'll use ogr2ogr.exe which is default added into my PostgreSQL 9.6 installation bin folder. It return this error:

ERROR 1: Unable to find driver PostgreSQL'.
  The following drivers are available:
    ->PCIDSK'
    -> JP2OpenJPEG'
    ->PDF'
    -> ESRI Shapefile'
    ->MapInfo File'
    -> UK .NTF'
    ->OGR_SDTS'
    -> S57'
    ->DGN'
    -> OGR_VRT'
    ->REC'
    -> Memory'
    ->BNA'
    -> CSV'
    ->GML'
    -> GPX'
    ->KML'
    -> GeoJSON'
    ->OGR_GMT'
    -> GPKG'
    ->SQLite'
    -> ODBC'
    ->WAsP'
    -> PGeo'
    ->MSSQLSpatial'
    -> OpenFileGDB'
    ->XPlane'
    -> DXF'
    ->Geoconcept'
    -> GeoRSS'
    ->GPSTrackMaker'
    -> VFK'
    ->PGDUMP'
    -> OSM'
    ->GPSBabel'
    -> SUA'
    ->OpenAir'
    -> OGR_PDS'
    ->WFS'
    -> HTF'
    ->AeronavFAA'
    -> Geomedia'
    ->EDIGEO'
    -> GFT'
    ->SVG'
    -> CouchDB'
    ->Cloudant'
    -> Idrisi'
    ->ARCGEN'
    -> SEGUKOOA'
    ->SEGY'
    -> XLS'
    ->ODS'
    -> XLSX'
    ->ElasticSearch'
    -> Walk'
    ->CartoDB'
    -> AmigoCloud'
    ->SXF'
    -> Selafin'
    ->JML'
    -> PLSCENES'
    ->CSW'
    -> VDV'
    ->TIGER'
    -> AVCBin'
    ->AVCE00'
    -> `HTTP'

Can you tell me how can I fix it ? I am using windows OS.

A: Solution is install OSGeo4W GDAL, and run ogr2ogr from bin folder. (OsGeo4W shell not working for me. Give it me error unable load datasource *.osm.pbf).
After installation run command from directory where *.osm.pbf is located
ogr2ogr -f PostgreSQL PG:"dbname='myDB' host='localhost' port='5432' user='postgres' password='postgres'" "data.osm.pbf"

otherwise, give full file path.
and done :)
additional information about other parameters are here: http://www.gdal.org/drv_osm.html

A: *.osm.pbf is not a postgresql file... To import osm into postgresql use osm2pgsql, imposm or any other tool made for this...
If you really need to use ogr2ogr check your version
ogr2ogr.exe --version
GDAL 2.1.2, released 2016/10/24

This one is working - have checked now.

A: I got the same driver list as above.
I was able to solve this problem with guidance from the 'WHERE' command on windows OS.
Using 'WHERE ogr2ogr' I discover that that ogr2ogr could be found via three enviromental variable paths on my machine 1. PostgreSQL\bin 2. GDAL\bin and 3. OSgeo4W\bin.
I turns out that the computer will that the first environmental variable set in this case PostgreSQL.
If you delete the ogr2ogr.exe executable from your PostgreSQL\bin folder then the second available ogr2ogr from GDAL GIS internals will be found which contains the PostgreSQL driver.

redpajama_set_name: RedPajamaStackExchange


text:
Bernard Baissat, né le  à Nabeul en Tunisie, est un journaliste, réalisateur de télévision, cinéaste, pacifiste et libertaire français.

Biographie

Après avoir été professeur d'italien et de lettres françaises, Bernard Baissat quitte l'enseignement en 1966, pour devenir journaliste à l'ORTF (station régionale de télévision de Dijon) et travaille sous la direction de Pascal Copeau.

En 1967, il devient assistant réalisateur de télévision à Paris, à l'information puis à la télévision scolaire. Il fait notamment des émissions sur l'économie avec le syndicaliste Jacques Delors.

En 1968, après avoir participé aux événements de Mai, il part comme réalisateur pour la télévision éducative au Niger où il reste 2 ans. Souhaitant poursuivre son travail en Afrique, il occupe ensuite un poste de réalisateur/formateur à Bouaké, en Côte d'Ivoire, pendant 4 ans.

En 1974, l'Agence de coopération culturelle et technique de la francophonie le nomme responsable d'un projet de télévision francophone au Liban. Directeur de Vidéo Liban pendant 2 ans, il doit cesser son activité au début de la guerre civile.

En 1976, de retour en France, il travaille comme réalisateur pour FR3. Il y réalise de nombreux reportages et collabore à la nouvelle émission destinée aux populations étrangères Mosaïque produite par l'Agence pour le développement des relations interculturelles jusqu'en 1981. Il devient également formateur à l'INA.

Il choisit le statut de réalisateur intermittent du spectacle pour pouvoir travailler sur différentes chaînes et dans différentes émissions. Ce statut lui permet de réaliser aussi, à l'extérieur de la télévision, des films plus personnels.

À partir de 1980, il réalise et produit des documentaires, dont la série Écoutez..., où il trace les portraits de personnalités libertaires et pacifistes comme André Claudot, Jeanne Humbert, Eugène Bizeau, May Picqueray, Marcel Body, Aguigui Mouna, Robert Jospin, René Dumont, Serge Utgé-Royo et André Bösiger.

En 1987, il tourne un documentaire sur Le Canard enchaîné à l'occasion des 70 ans du journal satirique hebdomadaire.

En 2000, toujours intéressé par les nouvelles possibilités de production et de diffusion, il collabore pendant deux ans à l'aventure européenne de CanalWeb, télévision par internet, en produisant et réalisant une cinquantaine d'émissions d'histoire sociale avec des historiens de la Sorbonne, du CNRS (équipe du Maitron) et des historiens étrangers.

En 2007, sa rencontre avec un historien responsable des archives de Nouvelle-Calédonie lui donne l'idée de monter des films à partir des nombreuses heures de rushes inédites de ses archives personnelles. Ces films sont destinés aux étudiants, aux chercheurs et à tous ceux qui s'intéressent à l'histoire de la Nouvelle-Calédonie.

Depuis 2009, pour actualiser les projections de ses films anciens, il réalise des films courts sur les thèmes de l'amitié, de la solidarité et de la résistance.

Depuis 2010, il développe ses idées pacifistes et libertaires dans le journal et les émissions radio Si Vis Pacem (Radio libertaire) de l'Union pacifiste de France.

Filmographie

 1978 - Écoutez Claudot, peintre engagé, , 52 min, Prix qualité Centre national du cinéma et de l'image animée.
 1981 - Écoutez Jeanne Humbert, pacifiste libertaire, , 57 min, TV Suisse Romande.
 1981 - Écoutez Bizeau, poète libertaire, en collaboration avec Robert Brécy, , 47 min, Prix qualité Centre national du cinéma et de l'image animée.
 1982 - La Bourse du Travail de Paris, , 80 min, avec l'historien Jean Maitron.
 1983 - Écoutez May Picqueray, pacifiste libertaire, , 70 min, TV Suisse Romande, Planète.
 1984 - Écoutez Marcel Body, vidéo, 55 min
 1987 - Aux quatre coin-coins du Canard, sur le Canard enchaîné, , 170 min, FR3, RTBF, TV Suisse, Planète.
 1989 - Écoutez Mouna, vidéo, 86 min, Cinéma Saint André des Arts, Planète, consultable au Centre national d'art et de culture Georges-Pompidou, à la BNF et à la Vidéothèque de Paris.
 1990 - Robert Jospin, pacifiste, vidéo, 78 min
1991 - Bernard Clavel, pacifiste, vidéo, 25 min
 1992 - René Dumont, agronome écologiste, vidéo, 125 min, coproduction La Lanterne/FR3, RTBF.
 1993 - André Bösiger, libertaire jurassien, vidéo, 57 min
 1993 - Visages du mouvement ouvrier, vidéo, 50 min avec Claude Pennetier du CNRS-Sorbonne.
 1993 - Moisan, dessinateur, vidéo, 13 min
 1994 - Exposition du mouvement ouvrier, vidéo, 57 min, avec Claude Pennetier du CNRS.
 1995 - Gens de métier, métiers de la radio et de la télévision, vidéo, 47 min, INA.
 1996 - Marinière, la vie d'à bord, vidéo, 55 min, RTBF, TV Cable.
 1997 - Harley, mon amour, portrait de bikers, vidéo, 53 min
 1999 - Écoutez Serge Utgé-Royo, chanteur libertaire, vidéo, 58 min, TV cable.
 2000 - Mireille Jospin, sage-femme, vidéo, 70 min, Les productions de la Lanterne, Télessonne, avec la participation du Centre national de la cinématographie.
 2001 - Robert Bothereau, syndicaliste, vidéo, 40 min, production CGT-Force Ouvrière.
 2003 - Companero Jorge Mac-Ginty, médecin chilien compagnon de Salvador Allende, vidéo, 74 min, production Association Bonnes Bobines.
 2004 - Ils reviennent à l'automne... Tunis 2001, vidéo, 72 min
 2005 - Jean-Baptiste André Godin, l'homme qui réalisa son utopie, industriel fondateur du Familistère de Guise, vidéo, 58 min, TV cable.
 2006 - La grande tournée outremer du Général de Gaulle, en 1956 le résistant rend visite à ses compagnons d'Outremer, vidéo, 2 × 52 min, RFO.
 2007/2009 - Archives de Nouvelle-Calédonie, montages d'archives de 1989/1990, témoignages : Jean Chesneaux, Emmanuel Kasarherou, Après les Accords Matignon, Jean-Jacques de Felice, Walles Kotra.
 2009 - Mounamitiés, les amis de Mouna au cimetière du Père-Lachaise, vidéo, 10 min
 2010 - Non à toutes les guerres, vidéo, 14 min

Publications
 André Claudot, Lœuilley, 1982
 Avec Yolande Josèphe et Jean-Pierre Thorn, Audiovisuel et mouvement ouvrier, Centre de création industrielle, Centre Georges-Pompidou, 1985

Notes et références

Voir aussi

Bibliographie
 Laurent Martin, , Revue d'histoire moderne et contemporaine, 2003/2, 256 pages, Belin, , lire en ligne

Sources filmographiques
 JSTOR : Bernard Baissat
 BNF : Filmographie autour de la presse
 Association Bonnes Bobines, voir en ligne
 Recherches sur l'anarchisme, Filmographie de Bernard Baissat
 L'Internaute, Filmographie de Bernard Baissat
 Yonne Lautre, , 31 mars 2013, lire en ligne

Articles connexes

Liens externes

 Union pacifiste de France, films en ligne
 Bernard Clavel, pacifiste sur youtube.com

Naissance en mars 1943
Naissance à Nabeul
Pacifiste libertaire
Auteur libertaire
Documentariste français
Antimilitariste français
Journaliste français du XXe siècle
Journaliste français du XXIe siècle

redpajama_set_name: RedPajamaWikipedia


text:
Man arrested in rape and murder of Hania Noelia Aguilar
By Anthony Izaguirre
December 8, 2018 | 11:27am | Updated December 8, 2018 | 11:29am
Michael Ray McLellan and Hania Noelia Aguilar. AP
13-year-old girl kidnapped from mobile home park
LUMBERTON, N.C. — Police in North Carolina say a 13-year-old...
A man has been arrested for raping and killing a 13-year-old North Carolina girl after allegedly kidnapping her from her own driveway last month, the FBI said Saturday.
Michael Ray McLellan, 34, faces first-degree murder and other felony charges in the death of Hania Noelia Aguilar.
The teen was forced into a family member's idling SUV in front of her Lumberton mobile home on Nov. 5, authorities said. She was found dead in a body of water about 10 miles south of her home on Nov. 27.
McLellan was already in police custody for an unrelated charge before being booked for the teen's death. He's due in court Monday.
Filed under kidnappings , murders , north carolina
Five wounded after gunfire erupts outside Queens nightclub


text:
The chronological updates below reflect HRS' efforts to restore fair reimbursement for ablation services in 2023.
Negotiating with Your Employer for RVU-Based Physician Compensation for Ablation Services
The Society has prepared RVU and payment rate tables to assist employed electrophysiologists in negotiating physician compensation for ablation services. Payment rates for SVT, VT, and AF ablation services have drastically decreased under the Medicare Physician Fee Schedule from 2021 to 2023, but hospital facility payment rates have steadily increased.
This comparison of physician and facility payments is essential to understand because ablation services are projected to increase by over 50% by 2030. So, while physician reimbursement from the CMS for ablation has decreased significantly, Medicare payments to hospitals continue to increase for these critical therapies.
It is important that healthcare systems ensure fair reimbursement for electrophysiologists to safeguard the ability to meet future ablation demand.
Download Table & Graph
Omnibus Spending Bill Partially Reduces Medicare Physician Payment Cuts for 2023 and 2024
On December 19, 2022, Congress passed the Consolidated Appropriates Act of 2023, which provides $1.7 trillion in spending for various healthcare provisions and other policy issues. Before the bill's passage, physicians faced an -8.5% total Medicare payment reduction starting January 1, 2023. The legislation partially reduces Medicare Physician Fee Schedule (MPFS) payment cuts over the next two years by increasing the conversion factor (CF) for 2023 and 2024. Originally finalized as a -4.5% decrease, the CF will increase by 2.5% for 2023, resulting in a smaller cut of -2% for this year. The legislation also includes a 1.25% increase to the 2024 CF to offset additional cuts expected for that year. In addition, the legislation delays the statutory 4% Pay-As-You-Go (PAYGO) sequestration for fiscal years 2023 and 2024.
For those participating in the Advanced Alternative Payment Model (AAPM) track of the Medicare Quality Payment Program (QPP), the bill extends incentives that were set to expire this year through the 2025 payment period at 3.5%, as opposed to the current 5%.
The bill also extends several Medicare telehealth flexibilities authorized for the COVID-19 Public Health Emergency for two years through December 31, 2024, including:
Waivers to the geographic and originating site restrictions
Expansions to the list of eligible practitioners
Eligibilities for federally qualified health centers and rural health clinics
Allowing telehealth to be provided through audio-only telecommunications
Allowing telehealth to be used for a required face-to-face encounter before the recertification of a patient's eligibility for hospice care
Delaying the in-person visit requirement before a patient receives telemental health services
Other healthcare provisions in the omnibus appropriations bill include:
Allowing states to begin processing Medicaid redeterminations on April 1, 2023, while phasing down the COVID-19 public health emergency (PHE)-related enhanced Federal Medical Assistance Percentage (FMAP);
Requiring state Medicaid programs to provide 12 months of continuous coverage for children and permanently allow states to offer 12 months of coverage for postpartum women;
Providing 200 additional Graduate Medical Education (GME) slots, at least half of which will be dedicated to psychiatry and psychiatry subspecialty residencies, among other workforce provisions;
Taking several steps to improve access to behavioral health services;
Making improvements to the government's ability to prepare for future emergencies; and
Delaying for a year reduction in payment for clinical laboratory tests and data reporting requirements under the Clinical Laboratory Fee Schedule.
In addition, the bill provides funding for other healthcare and research provisions highlighted below:
$47.5 billion for the National Institutes of Health;
$9.2 billion for the U.S. Centers for Disease Control and Prevention;
$1.5 billion for the Advanced Research Projects Agency for Health (ARPA-H) fight against cancer; and
$950 million for the Biomedical Advanced Research and Development Authority to bolster national health security.
Not included in the bill was a provision to direct the Centers for Medicare & Medicaid Services (CMS) to adopt the RUC-recommended values for add-on ablation services (Ablate Arrhythmia 93655 and Treat Additional AF Foci 93657).
HRS Seeking Legislative Solutions to CMS Ablation Cuts
The Centers for Medicare & Medicaid Services (CMS) published its physician payment final rule on November 1, 2022, and ablation reimbursements came up short of expectations. HRS has been busy considering the next steps in advocating for its members. HRS recognizes and appreciates the hard work of its members and their patients in influencing CMS to amend their proposals and accept most of the AMA/Specialty Society RVS Update Committee (RUC) recommendations.
The regulatory cycle to influence CMS for 2023 has closed, so HRS is working on alternative strategies, which include involving Congress to enact a legislative change. While the Society continues its long-term efforts to restore fair compensation, HRS is currently focused on a more achievable ask within the short window of time remaining to impact 2023 reimbursement.
With help from Capitol Counsel, the Society's advocacy partner on the Hill, HRS is finalizing sign-on letters from Senate and House representatives pushing for the inclusion of language in a pending healthcare funding bill to require the RUC-approved values for the add-on codes. While CMS' final rule included RUC-recommended RVUs for SVT, AF, and VT ablation, they did not accept the RUC recommendations for add-on codes. The CMS final rule of 5.5 RVUs for each of the two add-on codes does not align with the RUC's recommendation of 7.0 RVUs each.
HRS plans to send these letters in early December. To help facilitate your participation, Capitol Counsel is drafting language for you to send to your representatives via SaveAblation.org. HRS will notify you when the updated language is available on SaveAblation.org.
As previously mentioned, the Society will expand its health policy education curriculum to help its members better understand the impacts of these recent cuts, including discussion guides outlining the payment valuation process and its role in your daily practice.
The EP community has a long road ahead to ensure access for patients and fair reimbursement in the field. Still, HRS is committed to achieving short-term gains and long-term access to ablation and other critical services its members provide.
HRS Presidential Update: The Final Ruling
HRS President Andrew D. Krahn, MD, FHRS, responds to the final ruling by CMS for ablation services in 2023. On November 1, 2022, CMS released the final CMS 2023 Medicare Physician Fee Schedule, which adopted the AMA/Specialty Society RVS Update Committee (RUC) recommendations for AF, VT, and SVT ablation. However, there is still work to be done, and HRS will continue to fight for fair reimbursement through legislative channels and compensation reform.
Heart Rhythm TV Update: The Final Ruling
CMS Finalizes RUC Recommendations for AF, VT, and SVT Ablation
The Centers for Medicare & Medicaid Services (CMS) has finalized the AMA/Specialty Society RVS Update Committee (RUC) recommendations for Medicare electrophysiology ablation services in 2023 despite the unprecedented opposition efforts by the Heart Rhythm Society (HRS), the American College of Cardiology (ACC), the newly formed EP Advocacy Foundation (EPAF), patient organizations such as StopAfib.org and the Arrhythmia Alliance, Members of Congress, and other stakeholders.
Read Final Ruling
Download Table
HRS and the American College of Cardiology have issued the following statement in response to this final ruling:
While the changes the Centers for Medicare & Medicaid Services (CMS) made in response to feedback from the Heart Rhythm Society (HRS), American College of Cardiology (ACC), members of Congress, and other stakeholders are appreciated, HRS and ACC remain disappointed that the agency did not go further in amending the proposed cuts for key electrophysiology ablation services to reflect higher values derived within the established RUC survey process, recognizing the high degree of skill and a lengthy period of training required to perform these complex services, the enhanced safety despite increasingly sick patients, improved quality outcomes, and greater clinical value.
These ongoing cuts, as well as structural cuts to all Medicare services, continue to threaten patient access to important, high-value cardiovascular services and underscore the need for not just short-term fixes but long-term overarching reimbursement reform.
Heart Rhythm Society
Andrew Krahn, MD, FHRS, President
American College of Cardiology
Edward T.A. Fry, MD, FACC, President
While HRS leadership appreciates CMS' willingness to reconsider and return to recommendations of the long-accepted AMA/Specialty Society RVS Update Committee (RUC) process, HRS remains disappointed that CMS has not gone far enough in acknowledging:
The high degree of skill and the lengthy period of training required to perform ablation services
The complexity and risk involved in these procedures
Enhanced safety achieved despite increasingly sick patients
Improved quality outcomes
The documented cost savings for patients who have undergone ablation
Limiting patient access to effective ablation services, particularly for underserved communities
The impact of discouraging talented trainees from the extended training required for electrophysiology when the field is already struggling to meet a rising demand
HRS will continue a determined effort to collaborate with all stakeholders seeking legislative intervention to restore fair compensation and protect patient access to ablation services for 2023 and beyond. The severity of these cuts clearly shows that the system is not working. HRS will continue working with legislators and the greater medical community to pursue a better path forward.
HRS would like to thank the thousands of members and patients who actively responded by submitting comments to CMS and contacting their legislators for support. You have made a difference. CMS has responded, and we now have the attention of many legislators and policymakers, plus your continued support to keep pressure on CMS.
HRS will continue to provide updates on this webpage, as well as via Heart Rhythm TV, HRS Communities, social media channels, and email. The Society also plans to offer educational support and resources to help you navigate through the impact of these cuts as we continue this fight.
Urge Congress to Protect Access to Ablation Procedures
This year, the Centers for Medicare & Medicaid Services (CMS) implemented substantial payment cuts to ablation procedures, and CMS is proposing another round of deep payment cuts for the calendar year 2023.
Currently, as many as 6 million Americans suffer from atrial fibrillation, many of whom would benefit from catheter ablation. CMS' unjustified and irrational cuts could impact access to ablations, particularly for underserved minorities for whom issues of healthcare access already pose a problem.
The EP community must tell members of Congress just how detrimental these cuts will be — potentially limiting healthcare access for some of the nation's most vulnerable patients. If you have not already done so, please immediately email your members of Congress to help preserve access to ablation procedures.
SaveAblation.org, launched by the EP Advocacy Foundation and endorsed by HRS, is an easy-to-use tool to email your local congressional representatives.
Using the email tool is quick and easy:
Verify your address to pull up your Congressional representatives' contact information.
Use the editable pre-written language as is, or customize it with your personal concerns.
Enter your contact information and click send.
Please send an email today to your elected member of Congress and urge them to take action to halt these Medicare payment cuts.
Yes, I Want to Take Action
Heart Rhythm TV
HRS Presidential Update
HRS President Andrew D. Krahn, MD, FHRS, provides a weekly recap of the Society's continuing efforts to fight CMS proposed CY23 cuts to ablation services, including recent discussions with:
The White House Office of Management and Budget (OMB)
Francis "Frank" Biden, brother of U.S. President Joe Biden
Congressional Meetings
Beginning in August, the Society embarked on a massive grassroots effort to contact Congressional representatives about CMS' deep 2022 and proposed 2023 cuts to ablation service reimbursements. These calls included members of the Society, HRS Board of Trustees, Health Policy and Regulatory Affairs Committee, HRS staff, and HRS' advocacy partner, Capital Counsel.
View past meetings here.
Joint Patient and Provider Letter to Congressional Leaders
HRS penned a letter to congressional leaders Mitch McConnell, Nancy Pelosi, Charles Schumer, and Kevin McCarthy to stress the problems with CMS' proposed cuts to ablation services for 2023. This letter was signed by ACC, the Electrophysiology Advocacy Foundation (EPAF), the Arrhythmia Alliance, StopAfib.org, and the AF Association.
Dear Leader McConnell, Leader Schumer, Speaker Pelosi and Leader McCarthy:
On behalf of the undersigned patient and provider organizations, we are strongly concerned that a proposed Physician Fee Schedule (PFS) rule published by the Centers for Medicare and Medicaid Services (CMS) on July 7, 2022, will result in the inability of Medicare beneficiaries to access cardiac ablation, a lifesaving, cost effective, and highly specialized cardiac procedure for treating the growing incidence of atrial fibrillation (AF).
This minimally invasive family of procedures (five distinct services), which help control abnormal heart rhythms and limit the need for open heart surgery and long-term drug therapy, will be cut by as much as 40 percent over two years by this proposed PFS rule. In addition to reducing open-heart surgeries, a 3-year studyi showed that hospital admissions for patients treated with ablation were reduced by a substantial 64 percent, and emergency department visits were reduced by over 50 percent. For patients treated with cardiac ablation, there was a total savings on the cost of AF management of $850 per patient per month at one year and $546 per patient per month at three years.
The CMS-proposed payment cuts for ablation services could also profoundly impact access to these services by disincentivizing entrant physicians into the very specialized training of electrophysiology (EP) for treating AF. In the U.S., there are only approximately 3,000 physicians certified in EP, while the number of patients with AF is expected to double from 6 million to 12 million by 2030. Training fellowships for EP are already facing unfilled opportunities due to the additional two years of specialized training required for these physicians. The CMS rule's steep reductions, if implemented, will present another barrier to meeting the growing demand for these cost-effective and life- enhancing procedures for all Medicare AF patients, including racial and ethnic minorities who have disproportionately worse outcomes related to cardiac rhythm disorders.
It is our understanding that, in developing its recommendation, CMS errantly relied on a comparison to the time necessary for a dissimilar procedure – lower limb revascularization. The risk of working on an isolated area of the leg versus ablating tissue in a beating heart (with adjacent vital structures) seems incomparable from a clinical or patient perspective. For the sake of Medicare AF patients, an appropriate review should be conducted using relevant data that reflects the full scope of physician resources – including work, intensity, complexity, and necessary skill for cardiac ablation – with the goal of restoring payments to be more consistent with 2021 reimbursement.
As Congress works toward a value-based framework for Medicare, it is our hope that it will guide CMS toward services like cardiac ablation that reduce hospital admissions and emergency department visits. Failing to do so could jeopardize cost-effective and life-saving treatments for Medicare beneficiaries and the supply of highly trained certified cardiac physicians.
AF Association
Arrhythmia Alliance
Electrophysiology Advocacy Foundation (EPAF)
StopAfib.org
Download the Letter
HRS President Andrew D. Krahn, MD, FHRS, provides a weekly recap of the Society's continued fight against CMS' proposed CY23 cuts to ablation services, including immediate and long-term objectives:
50+ congressional meetings coordinated by HRS and Capital Counsel
Additional congressional meetings being held by ACC and the EP Advocacy Foundation (EPAF)
Patient advocacy group support from StopAFib.org and the Arrhythmia Alliance
Templated and automated emails to Congress available on SaveAblation.org, initiated by EPAF and endorsed by HRS
HRS Board meeting with Rep. Michael C. Burgess, MD (R-TX-26)
Congressional Meetings to Fight CMS Reimbursement Cuts
Beginning in August, the Society embarked on a massive grassroots effort to contact Congressional representatives about CMS' deep 2022 and proposed 2023 cuts to ablation service reimbursements.
In the last two weeks alone, members of the HRS Board of Trustees, Health Policy and Regulatory Affairs Committee, HRS staff, and HRS' advocacy partner, Capital Counsel, have conducted 41 meetings with members of Congress:
Jack Boyd (Sen. Portman (R-OH))
Rep. Brady (R-TX-08)
Rep. Miller-Meeks (R, IA-02)
Rep. Gomez (D, CA-34)
Rep. Butterfield (D-NC-01)
Sen. Cantwell (D-WA)
Sen. Blumenthal (D-CT)
Rep. Aderholt (R-AL-04)
Rep. Posey (R-FL-08)
Sen. Young (R-IN)
Sen. Toomey (R-PA)
Rep. Balderson (R-OH-12)
Sen. Grassley (R-IA)
Sen. Menendez (D-NJ)
Sen. Lankford (R-OK)
Sen. Burr (R-NC)
Sen. Baldwin (D-WI)
Rep. Bost (R-IL-12)
Sen. Rosen (D-NV)
Sen. King (I-ME)
Sen. Hassan (D-NH)
Rep. McBath (D, GA-06)
Rep. Demings (D-FL-10)
Sen. Stabenow (D-MI)
Rep. Dave Joyce (R-OH-14)
Sen. Hickenlooper (D-CO)
Sen. Cornyn (R-TX)
Sen. Lujan (D-NM)
Rep. Auchincloss (D-MA-04)
Sylvia Lee (Sen. Sinema (D-AZ)
Sen. Bennet (D-CO)
Rep. Burgess (R-TX)
Rep. Luetkemeyer (R-MO-03)
Rep. Moore (D, WI-04)
Rep. Cline (R-VA-06)
Sen. Murray (D-WA)
Sen. Duckworth (D-IL)
Paul Hartman (Rep. Latta (R-OH-05)
Kevin Gannon (Rep. Garbarino (R-NY-02)
Corey Linehan (Sen. Coons (D-DE)
Audrey Smith (Sen. Manchin (D-WV)
The participation of HRS members from the same state or district as the member of Congress in the meeting is powerful. If you are interested in joining one of the upcoming calls (scroll to the top of this page to view upcoming calls), please email Tim Gregory, HRS' Chief Learning Officer, at tgregory@hrsonline.org to receive preparatory information.
Heart Rhythm TV Update
HRS President Andrew D. Krahn, MD, FHRS, provides an update on the continued fight against the CMS proposed CY23 cuts to ablation services. To summarize:
16 productive meetings with U.S. Representatives were conducted and included our advocacy partner on the Hill, Capitol Counsel
16 additional meetings with U.S. Representatives are scheduled over the next 10 days
50 meeting invites sent to additional U.S. Representatives
300% increase in advocacy support for FY23 approved by the HRS Board of Trustees
Heart Rhythm TV Updates
HRS FY 2023 Budget Approved with Increased Advocacy Support
The HRS Board of Trustees approved the Society's FY 2023 budget last week, with significant increases earmarked to support advocacy for fair reimbursement of heart rhythm services. A new advocacy strategy that includes both regulatory and legislative elements will address not only the current proposed cuts to ablation but also threats to reimbursement of other services provided by heart rhythm specialists.
September 2-9, 2022
Earlier this week, HRS President Andrew D. Krahn, MD, FHRS, convened another emergency Board of Trustees meeting to review HRS' official position and strategy for opposing these draconian actions. After considering all the discussions that have taken place across various channels (e.g., conversations with ACC, the Discord discussion group, HRS Communities, etc.), the Society reaffirmed its decision to demand fair reimbursement comparable to 2021 for physicians performing these ablation services.
The deadline for the EP community to express outrage and concerns to CMS is quickly approaching.
The Society strongly encourages you to submit your comments to CMS before the September 6 deadline. To help you craft your letter, please utilize the following resources:
HRS Ablation Reimbursement Brief
Comment Letter Template
We are in this fight together. To win this battle, we must band together to stop CMS from enacting these proposed cuts.
Download HRS Ablation Reimbursement Brief
Download Comment Letter Template
Join the Fight to Stop Payment Cuts to Ablation Services: Letter Template for Submitting Comments
The Centers for Medicare & Medicaid Services (CMS) has proposed to cut payment for SVT, VT, and AF ablation services effective January 1, 2023.
Over 300 members of the EP community have written to the CMS opposing the proposed payment cuts. If you have not already done so, HRS urges you to join the fight and send comments to CMS using this comment letter template by September 6, 2022.
To submit your comments to CMS, please follow the instructions below:
The "Comment" button for the CY2023 Medicare Physician Fee Schedule can be found on the following pages of regulations.gov:
Docket Details page when a document within the docket is open for comment,
Document Details page when the document is open for comment, and
Document Search Tab with all search results open for comment displaying a "Comment" button.
Clicking "Comment" on any of the above pages will display the comment form. You can enter your comment on the form, attach files (maximum of 20 files up to 10MB each), and choose whether to identify yourself as an individual, an organization, or anonymously.
Be sure to complete all required fields depending on which identity you have chosen. Please note that information entered on the web form may be viewable publicly. Once you have completed all required fields and chosen an identity, the "Submit Comment" button is enabled. Upon completion, you will receive a Comment Tracking Number for your comment.
We are in this fight together. If we are to achieve any success in this battle, it will take an extraordinary effort from HRS members to contact CMS.
Congressional Outreach Opposing CMS' Proposed Payment Cuts to Ablation Services
A message from Christopher F. Liu, MD, FHRS, Health Policy and Regulatory Affairs Committee Chair
Throughout August, a leadership delegation from the Heart Rhythm Society (HRS) and the American College of Cardiology (ACC) conducted a series of meetings with individual Congressional staffers to discuss one topic — our dire concerns with the Centers for Medicare & Medicaid Services' (CMS) proposed deep cuts to ablation service reimbursements.
Joint leadership included myself, Amit J. Shanker, MD, FHRS; Joseph E. Marine, MD, FHRS; Samuel O. Jones, MD, MPH, FHRS; and Jim W. Cheung, MD, FHRS. Our contingency met with staffers from the congressional offices of Rep. Richard Neal (D-MA, Chairman of the House Ways and Means Committee), Rep. Brad Wenstrup (R-OH), Rep. Mariannette Miller-Meeks (R-IA), Rep. Ami Bera (D-CA); Rep. Larry Bucshon (R-IN), Rep. Raul Ruiz (D-CA); Rep. Neal Dunn (R-FL), and Rep. Kim Shrier (D-WA). I want to note that all Representatives, except Rep. Neal, are physicians; therefore, they have good context for our conversations. With the involvement of the HRS Board of Trustees and the Society's advocacy partner, Capitol Counsel, additional meetings with other members of Congress are in the works.
We are in continued conversations with these Representatives, which is why I am reaching out to you right now — please help us fortify our message to Congress.
May I ask you to contact your Congressional offices today to reinforce this issue's importance and urgency, especially if you live in one of the above districts? Please use the HRS Ablation Reimbursement Brief in your outreach.
This one-page document succinctly outlines:
EP conditions, patients, and the complexity of ablation treatments
The value proposition and health equity considerations
Numerous flaws in CMS' process
Unintended consequences of these cuts
How to make your voice heard for maximum impact
As a U.S. member of our Society, I am asking you to contact your Congressional representatives and instruct them to engage with CMS and direct CMS to stop the proposed cuts that are irrational and unjustified. Physician payment overall (and budget neutrality) is the bigger issue and needs to be fixed, but these proposed cuts for ablation services need to be addressed urgently to preserve patient access.
We are in this fight together. If we are to achieve any success in this battle, it will take an extraordinary effort from our U.S members and our partners to contact Congress.
In closing, I would be remiss if I did not take a moment to thank the entire Health Policy & Regulatory Affairs Committee (past and present) for their incredible dedication as volunteers throughout the years and especially during this challenging time.
Christopher F. Liu, MD, FHRS
Chair, Health Policy and Regulatory Affairs Committee
Download HRS Ablation Reimbursement Issue Brief
HRS Updates Position on CMS Proposed 2023 Cuts for Ablation Reimbursement
After several weeks of discussion, significant feedback from membership, and guidance from the Society's recently retained legislative advocacy firm, Capitol Counsel, the Board of Trustees has revised the Heart Rhythm Society's (HRS) position on the Centers for Medicare & Medicaid Services (CMS) proposed 2023 cuts to reimbursement for ablation services.
View and download the new HRS Ablation Reimbursement Issue Brief and take action today by sharing it with your representatives in Congress.
The Board of Trustees previously aligned with the American College of Cardiology (ACC) in demanding that CMS accept the AMA RVS Update Committee (RUC) recommendation, which still represented significant reductions in reimbursements for ablation services. In the 2023 Medicare Physician Fee Schedule proposed rule, CMS would cut a select set of procedures (five distinct services) by upwards of 40% over two years. While marginally less than the CMS proposed cuts for ablation, the RUC recommendation still represented significant cuts. These steep reductions are not only untenable but also unsustainable for the profession. They will jeopardize access to these critical services for thousands of Medicare beneficiaries, particularly those in many urban and rural communities.
While many members have called for HRS to "reverse" these cuts or return to the 2021 reimbursement model, the reimbursement structure has been modified too significantly for those options to be considered. Instead, the Board of Trustees is seeking fair reimbursement comparable to 2021 for physicians that perform these ablation services.
The primary flaw of CMS' new reimbursement proposal is that it is predominantly based on procedure time. CMS fails to recognize other essential circumstances, such as intensity, complexity, and the necessary skills required to perform the procedures.
While not wholly aligned with the Society's revised position at this time, ACC has offered to continue supporting HRS in this matter where there is alignment. ACC has requested that CMS consider holding at the 2022 reimbursement rates with an absolute minimum of accepting the RUC recommendations.
Take Action Today
CMS will not likely consider the Society's position without significant influence from Congress. Thus, HRS members must reach out to their representatives directly. Please utilize this HRS Ablation Reimbursement Issue Brief, which outlines the issue, provides background information, and details the Society's new goal and recommendation.
If you do contact a member of Congress, the Society asks that you notify HRS at policy@hrsonline.org.
In collaboration with Capitol Counsel, HRS is preparing a detailed response to CMS that will outline the details of our specific recommendations well in advance of the September 6th deadline for responses.
A tremendous amount of time and energy has already been expended over the past several months to address this critical matter. The Board of Trustees would like to thank the members of the HPRAC, the new CMS Strategic Advisory Task Force, and countless others for lending your efforts in this fight.
Capitol Counsel, LLC Selected as Partner to Fight Proposed CMS Cuts
Last Thursday, the Heart Rhythm Society selected Capitol Counsel, LLC as a partner in the fight against the proposed CMS ablation fee cuts. Capitol Counsel is a bipartisan and bicameral government relations firm that provides political analysis, strategic advice, and advocacy services to its clients.
The Capitol Counsel team has decades of experience in federal policymaking and politics. Members of their team served as members of Congress, senior congressional staff on key congressional committees, and in senior executive branch positions. They maintain an understanding of the policies shaping the U.S. healthcare delivery system, and have extensive experience with public and private healthcare coverage and payment issues.
Experts in legislative affairs, Capitol Counsel will elevate the Society's fight against CMS' proposed cuts through:
Development and implementation of a strategic plan of action
Tactical advice and guidance
Direct advocacy before Congress and the Administration
Creation of advocacy materials, talking points, and other relevant charges and tools
Political and policy intelligence gathering and analysis
Recommendations for political giving program
Assistance in assembling status updates for the leadership and members of Congress
Additional details will be shared as they become available.
To ensure Capitol Counsel is able to support HRS as efficiently and effectively as possible, please do not contact Capitol Counsel directly. Instead, please send your questions and comments to policy@hrsonline.org.
HRS/ACC Joint Call-to-Action Regarding Proposed Ablation Cuts in CMS Proposed CY2023 Rule
Last year, despite vigorous opposition from HRS, the American College of Cardiology (ACC), partner organizations, and patients, the Centers for Medicare & Medicaid Services (CMS) reduced payment for ablation services from their 2021 values. The 2022 reductions were the result of the bundling of codes for 3D mapping (93613), left atrial recording (93621), or intracardiac echocardiography (93662) services into the primary CPT codes for supraventricular tachycardia (SVT) (93653) and atrial fibrillation (AF) (93656) without any increases to account for the newly bundled services.
Despite strong advocacy efforts by ACC and HRS on behalf of our members, CMS announced in the CY2023 Medicare Physician Fee Schedule Proposed Rule that it intends to further reduce reimbursement for SVT, ventricular tachycardia (VT), and AF ablations (CPT codes 93653, 93654 and 93656). Additionally, CMS indicated that it will maintain the current reduced values for add-on codes to ablate additional arrhythmias (code 93655) and to treat AF with additional ablation after pulmonary vein isolation (code 93657). While we anticipated some reduction in these code valuations due to the results of the recent RUC surveys, CMS is proposing to reduce payment beyond recommended values negotiated at the RUC.
These cuts create a new obstacle for electrophysiologists caring for patients with arrhythmias. They are coupled with the troubling trend of ongoing reductions via conversion factor cuts (proposed -4.5% in CY2023), statutory cuts from sequestration and PAYGO rules, and a flat annual payment update that fails to account for significant inflation in practice costs, patient complexity, and enhanced physician work associated with the greater utilization of same-day discharge protocols. The ablation-specific reductions are an alarmingly significant departure from the American Medical Association/Specialty Society RVS Update Committee (RUC) recommended values.
The RUC survey and evaluation process (in which practicing physician feedback is used to create recommended relative values for services) was, in this case, disregarded by CMS, instead using comparator codes that are in no way comparable to the services in question. Despite the AMA Specialty Society RUC making a great effort to recognize and adjust to the new efficiencies of these codes through advanced technology that increases complexity and risk, CMS further reduced the RUC-recommended values by nearly 10% in the 2023 proposed rule following a 26% reduction that was implemented in the 2022 final rule.
Visit ACC's website to learn more.
ACC and HRS do not agree with or accept these proposed reductions and will continue advocating aggressively against their enactment, which is scheduled for January 1, 2023. Members of both organizations are urged to utilize ACC's Action Alert system to share their opposition to these reductions through comments to the Agency before the comment period closes on September 6, 2022.
HRS and ACC both support and work to help develop reimbursement models that recognize the reality of limited CMS funding for health services, reward high-quality and high-valued outcomes, align incentives of payers, patients, and providers, and are a fair reflection of clinician work. HRS and ACC will continue to advocate vigorously for our members to mitigate these cuts and will update you accordingly with our efforts and calls for action.
Learn More about Proposed Cuts
Board of Trustees Meeting to Discuss CMS CY23 Reimbursement Cuts
On Wednesday, July 20, 2022, the HRS Board of Trustees convened an unscheduled meeting with several EP reimbursement experts to understand and discuss the Society's response to the Proposed Rule. The Board authorized funds to hire a lobbying firm to quickly work within the legislative process to convince CMS to accept the RUC recommendations. HRS will also continue to work closely with ACC to activate a grassroots effort to assist you in contacting your legislators to assist with this important message to CMS.
HRS will continue to provide frequent communications over the next few months.
HRS to Lead Members in Unprecedented Opposition to CMS 2023 Reimbursement Cuts
CMS' proposed reductions for EP services in CY2023 are significant, unprecedented, and unsubstantiated, and HRS neither agrees with nor accepts them. To combat these cuts, HRS will initiate a multi-faceted urgent response strategy, including:
Member grassroots campaign to legislators (with specific talking points)
Member letter writing campaign to CMS during the comment period (specific talking points will be provided)
Member outreach to Hospital Administrators/CEOs (with specific talking points)
Continued support and collaboration with ACC and AMA
Continued discussions and dialogue directly with CMS
Engaging additional professional legislative advocacy advisors (Republican and Democrat)
Engaging legal counsel to evaluate legal actions
Soliciting support from industry partners
Soliciting support from patient organizations such as Arrhythmia Alliance and Stop Afib
Providing analysis tools of proposed rule details and points of contention with illustrations to better inform members/partners on the issue
Maintaining regular member communications on the CMS reimbursement advocacy actions through Keeping Pace, Inside HRS, Social Media, and Heart Rhythm TV
HRS is committed to aggressively fighting against these reductions and their enactment, scheduled for January 2023.
CMS Releases CY 2023 Medicare Physician Fee Schedule Proposed Rule
Since July 2021, the Heart Rhythm Society (HRS), the American College of Cardiology (ACC), and the American Medical Association Relative Value Scale Update Committee (AMA RUC) have aggressively fought against reimbursement cuts put forth by the Centers for Medicare & Medicaid Services (CMS).
Despite vigorous advocacy efforts, CMS disregarded objections from the EP community regarding cuts in ablation reimbursement for CY 2202, resulting in a 34% reduction in EP services effective January 1, 2022. These 2022 reductions were the result of the bundling of mapping and interrogation services into the primary CPT codes without any increases to account for the newly bundled services (CPT 93613/CPT 93621).
With the release of the CY 2023 Medicare Physician Fee Schedule Proposed Rule, CMS is attempting to enact additional cuts in 2023. The CY 2023 proposed rule would:
Drastically reduce reimbursement for SVT, VT, and AF ablations (codes 93653, 93654, and 93656)
Maintain reduced values for add-on codes to ablate arrhythmias (code 93655) and treat AF ablation (code 93657)
CMS will accept public comments on proposed policy changes until September 6, 2022.
Read Proposed Rule


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High School Student to DVM: Tufts at Tech
Steve Dale, CABC
Tufts at Tech Community Veterinary Clinic is the nation's first on–the–job veterinary clinic at a high school, developed in collaboration with a veterinary school.
This program is a "feel–good" on so many levels. It allows students in the Veterinary Assisting program at the Worcester Technical High School to gain hands-on experience while working toward a traditional diploma and an Approved Veterinary Assistant (AVA) certificate from the National Association of Veterinary Technicians in America (NAVTA).
The mentors for the high school students are fourth–year students from Cummings School of Veterinary Medicine at Tufts University, who are clearly getting real–life experience up close and personal. Arguably the most important, the animals seen at this unique clinic belong to pet caretakers who reside in the local economically depressed community. In order to receive care, caretakers must demonstrate need.
"This program works on so many layers," says Dr. Greg Wolfus, clinical assistant professor at Cummings and Director of Tufts at Tech.
"You never know what's going to walk through the door," adds fourth–year veterinary Tufts student Tyler Maddox. "We evaluate and make a tentative diagnosis."
Tyler continues, "One thing I've learned that can't be replicated in a classroom is the palpable emotion of the human–animal bond. It doesn't matter that some of these clients are on food stamps or in subsidized housing, they care about their pets no less than anyone else."
Wolfus says, that in his opinion, the life lessons learned are as important as actually implementing what veterinary students have learned in classrooms about diagnostics and techniques.
In just a few weeks' time, Maddox and her classmates diagnosed and followed up with surgery for everything from pyometra to entropion to all sorts of dental procedures to removing a mass from a cat's face to many low–cost spay/neuters. And euthanasia is also a reality in the clinic.
Pam Houde, CVT is there to assist DVM students and teach blood draws, induction, positioning for radiographs, and so much more, including asking the right questions to be efficient in a real clinical setting. Houde has been a part of Tufts at Tech for over four years.
"It's humbling," she says. "Yes, it's a learning experience for the veterinary and high school students—but I think we all learn. We all come together for one purpose."
Pets themselves teach unselfishness, and about life. "I've learned about caring for others who need help," says Juliette Tarnuzzer, who is a 16-year-old junior at Worcester Technical High School. "I always knew I wanted to work with animals but was kind of squeamish around blood. Now, I know I can handle it."
High school students take client histories, assist the veterinary students to handle patients, help to prep animals for surgery, learn about reading lab reports, help to clean and take future appointments.
Worcester Technical High School offers other real–life programs including carpentry, automobile technology, web development, culinary arts, allied health to learn to become a certified nursing assistant and cosmetology.
About 99 percent of the program's grads have passed the NAVTA test for becoming an AVA since the test became part of the program in 2010. It's unclear how many of the high school grads actually land jobs in the veterinary field—only because it's a challenge to track so many people post–graduation. But certainly many grads are now working in veterinary medicine.
"It's hard to comprehend what walking in the shoes of some of these high school students is like," says Wolfus. "My goal isn't to make them all veterinarians, or even veterinary professionals. My goal is, yes, to expose them to veterinary medicine. But mostly to use the lessons they've learned here in real life, and to be productive and responsible contributors to society as adults."
As for the vet students? "I mean there's nothing like this," adds Wolfus. "They are mentors themselves (to the high school students), and learn so many skills which just don't happen in a classroom."
And the high school students are having fun while learning, a goal not always achieved in an educational setting. This is likely because the students are enjoying working with animals and relate to the vet students who aren't all that much older.
Maddox says that her most important lesson is knowing that she is making a difference. "The clients may not be able to afford every possible diagnostic test or treatment, but we make what we can affordable. And we do what we can. And people are so appreciative. This makes me feel so positively about our profession."
President Barrack Obama spoke at Worcester Tech's graduation in 2014, saying that he had "challenged high schools all across the country to do what you're doing here—better prepare students for the demands of the global economy."
Indeed, Tufts at Tech is a life changer and life saver. +
Photos by Gillian Kruskall – Blue Ambrosia Photography
Steve Dale, CABC (Certified Animal Behavior Consultant) is the author of a popular blog, www.stevedalepetworld.com. He is the host of two national radio shows, and is heard on WGN Radio, Chicago. His many TV appearances include Oprah to National Geographic Explorer, and is a contributor on syndicated "HouseSmarts TV." Steve edited "Decoding Your Dog," authored by American College of Veterinary Behaviorists, and has contributed to many books and publications. Steve speaks around the world at animal behavior and veterinary conferences and serves on the Boards of the Winn Feline Foundation and Human Animal Bond Association. His many awards and honors include the AVMA Humane Award, and he was inducted into the Dog Writer's Association Hall of Fame.
November / December 2018 Issue


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Metcalfe Health Care Center has been operating as a non-profit, county owned nursing facility since 1977. The corporation Metcalfe Health Services, Inc. was formed for the purpose of providing long-term care services to the residents of Metcalfe County. Land was purchased for the facility in December 1974 and construction began in April 1976. The project was spearheaded by then County Judge Executive Woodrow Wilson and nursing home board members Herb Sparks, John Paul Blevins, Glen Finn, Alyne Frasier, Lucy Forbes, and George Cowan.
The facility opened its doors for admissions on March 7th, 1977. At that time, there were 36 personal care beds and 24 nursing facility beds. That bed complement changed in March 1978 to 30 personal care beds and 30 nursing facility beds. In 1983 the north wing of the facility was constructed. It included an additional 41 nursing facility beds, a laundry, and multi-purpose room. A sun room was built in 1990 and a classroom in 1995. The bed complement changed once again in January 2014 when 9 personal care beds were de-certified. The facility now has a total of 92 beds; 21 of which are personal care beds and 71 are nursing facility beds.
Metcalfe Health Care Center has been proudly serving the health care needs of Metcalfe and surrounding counties for 37 years. We invite you to become acquainted with our facility and let us share with you the dedication to service that has become our hallmark.
A not-for-profit long-term care nursing facility.
Copyright © 2014-2018 Metcalfe Healthcare Center -- Site designed by Pringle Computer Services, LLC


"All hatred driven hence, The soul recovers radical innocence And learns at last that it is self-delighting, Self-appeasing, self-affrighting, And that its own sweet will is Heaven's will"
�Innocence is like polished armor; it adorns and defends"
�The innocent and the beautiful Have no enemy but time"
�That's what it takes to be a hero, a little gem of innocence inside you that makes you want to believe that there still exists a right and wrong, that decency will somehow triumph in the end"
�The silence often of pure innocence persuades when speaking fails."
Innocence Definition: Guileless, not guilty.
mid-14c., "freedom from guilt," from Old French inocence "innocence, purity, chastity" (12c.), from Latin innocentia, from innocens "harmless, blameless". Meaning "lacking in guile or artifice" is from late 14c.
"Perfect Innocence is within you"
"Allow yourself to feel Innocent now"


In a few days, I'll be back to posting new recipes. In the mean time, I hope you'll find something you like from these summer recipes.
A simple yet delicious summer salad consisting of bite sized lettuce, thinly sliced sweet yellow nectarine, crunchy walnuts, and sweet dried cranberries then drizzled with sweet nectarine balsamic vinaigrette.
Roasted shredded chicken, sliced strawberries, sweet cherry tomatoes, and dried cranberries tossed with lettuce then drizzled with nectarine balsamic vinaigrette. Delicious, healthy, and simple to make, this salad is perfect for the summer.
This entry was posted in Roundup and tagged Food, recipes, summer.
These look great. i often crave a good salad.
Hi Laura! You can definitely make these recipes. The spring rolls and chicken salad don't require much cooking. I know you can do it! I try to make the recipes as simple as possible so that anyone can make them. Hope you'll give them a try. Have a great weekend!


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Elon Musk Launches Media Company Thud, Hires Former Onion Execs
Friday March 16, 2018 11:03 am PDT by Dave Lee
From IGN:
Elon Musk continues his quest for global domination with the announcement of a new media company, Thud, and has hired The Onion's former editor-in-chief Cole Bolton and executive editor Ben Berkley. After an initial cryptic tweet that simply said "Thud!," Musk followed it up with the announcement in a second tweet, saying, "That's the name of my new intergalactic media empire, exclamation point optional." [and] "It's pretty obvious that comedy is the next frontier after electric vehicles, space exploration, and brain-computer interfaces," Musk said, when asked to elaborate on his role in the project. "Don't know how anyone's not seeing this."
I originally thought Elon's tweet about a new media company but apparently according to IGN it's real.
SpaceX launches 50th Falcon 9 flight
Monday March 5, 2018 11:03 pm PST by Dave Lee
Congrats to SpaceX on their 50th Falcon 9 flight.
Very proud of the SpaceX team! Can't believe it's been fifty Falcon 9 launches already. Just ten years ago, we couldn't even reach orbit with little Falcon 1.
Successful deployment of Hispasat 30W-6 to a geostationary transfer orbit confirmed. pic.twitter.com/PHctrfzwKa
— SpaceX (@SpaceX) March 6, 2018
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BMC Software Inc. will take a new product tack early next year with an updated version of the company's Patrol Recovery for Oracle software.
BMC Software Inc. will take a new product tack early next year with an updated version of the companys Patrol Recovery for Oracle software.
The 2.0 version will feature multiple-database management through one interface, so users can better manage products from Oracle Corp., IBM and Microsoft Corp., said Mike Jones, director of product management at the Houston company.
Client- and Web-based remote management, log analysis and point-in-time recovery analysis are also new features, Jones said. Later this year and early next year, such features will gradually be applied to BMCs products for IBMs DB2 and Microsofts SQL Server and Exchange, he said.
Another part of BMCs plan is to work with application vendors, Jones added. "We want to continue to expand our backup and recovery capabilities for more intelligence of an application or business process data. ... The other focus area is continuing to leverage the actual intelligence in the storage product itself," he said. The ability to undo mistakes in transactions will also be an important feature in forthcoming BMC products, he said.
"It looks good; its going to give us the ability to do not just our Oracle, but also our SQL Server," said Mike Harris, an Oracle database administrator at Volvo Trucks North America Inc., in Greensboro, N.C. With another product, backups were taking an hour a day just to confirm, Harris said. "It gets pretty expensive when youre tying up a DBA [database administrator]," he said. But even with BMCs new software, managing a scale such as Volvos 70 to 80 Oracle servers is difficult. The product could also use job scheduling and failover features, Harris said. Patrol Recovery for Oracle will cost about $6,000 for an entry-level implementation and will increase with database size, officials said.